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Print this form out, complete it and mail to the address below.  
If you prefer, click here to go to a online form that you can email directly to us.

PRINTABLE MEMBERSHIP FORM

Individual:

 
Individual's Address:   
Organization:  
Organization Address :  
Phone:   
Fax:   
Cell/Pager:  
Email Address:  
Web Address:  

Status of Organization:

Nonprofit  / For Profit  / Government 
Amount Enclosed  $

Are you interested in volunteering for work with the Roundtable or the Collaborative? If yes, please indicate which area you have an interest in:

  • Fund raising

  • Training

  • Speaking

  • Document preparation

  • Donating office space or support services

  • Marketing

 

Membership fees for non-profit organizations is $100 per organization.

For-profit organizations can support the Collaborative via contributions. In the past, organizations have contributed $500 to $5,000. [Tax ID Number: 59-3223261].
Your contribution or membership fee should be made payable and sent to the address below with this completed form.
 

Print this form out, complete it and mail it with your check to: 

Nonprofit Housing Roundtable of Central Florida
PO Box 948006
Maitland, FL 32794-8006

 
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The Nonprofit Housing Roundtable of Central Florida


NPHR Administrator  

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